Provider Demographics
NPI:1306592407
Name:THE DENTAL BOUTIQUE OF FRANKLIN
Entity type:Organization
Organization Name:THE DENTAL BOUTIQUE OF FRANKLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-749-6939
Mailing Address - Street 1:27 SUMMIT POINTE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1767
Mailing Address - Country:US
Mailing Address - Phone:614-749-6939
Mailing Address - Fax:
Practice Address - Street 1:273 E CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1317
Practice Address - Country:US
Practice Address - Phone:614-749-6939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty